Erectile dysfunction is a condition where a man is unable to maintain a firm erection in the penis for a longer time during sexual intercourse.
Although erectile dysfunction is not a severe disease that can't be cured if left untreated for a long time may lead to impotence. Nowadays it is one of the most common problems faced by a majority of men, not of the older age group only but young ones too. More than 10 million cases are reported per year.
Erectile dysfunction is generally self diagnosable. Some of its most common symptoms include:
Low sex drive
Losing interest in sexual intercourse
Inability to maintain a firm erection for a long time
Trouble getting erections.
These symptoms may vary from person to person.
One should consult a doctor immediately if any of these symptoms occur and persist for a long time.
There are various causes behind erectile dysfunction. Some are physical and some emotional. Among these most common causes of erectile dysfunction are:
Tobacco and alcohol consumption
Injury in the penis area.
Out of all these causes, the condition of erectile dysfunction can either arise by any one of them or more than one.
In most cases, erectile dysfunction is self diagnosable. Diagnosis can be done by seeing the patient's symptoms and then it gets treated accordingly. But in some cases, detailed physical examination and laboratory investigation is required to identify the root cause and its treatment.
The very first step of diagnosis includes distinguishing between the symptoms whether physical or psychological.
Another step towards diagnosis is to record the reaction towards manual stimulation.
Erectile dysfunction is also related to diabetes and various other health-related problems that can either be hereditary or develop during life like obesity, heart-related issues, hypertension etc.
In some cases, the issue is unable to be diagnosed with simple measures. For such cases various other tests are to be carried out:
Ultrasonography of the penis by the doppler effect is carried out to examine the penis.
Bulbocavernosus reflex test
This test is carried out to examine penile nerves function whether there is enough sensation left in penis nerves or not.
This test is used to measure sensitivity in the shaft and glans of the penis with the help of electromagnetic radiations.
Magnetic resonance angiography
Magnetic Resonance angiography uses magnetic and radio waves to produce detailed pictures of blood vessels of the penis.
Corpus cavernosography measures the vascular pressure in the corpus cavernosum of the penis.
Nocturnal penile luminescence
It is used to measure the rigidity and circumference of the penis during nocturnal erection.
Cure and treatment
Treatment of erectile dysfunction mainly depends on its cause. The cause or factor behind erectile dysfunction lay down the foundation of its treatment.
If the cause is psychological or some adverse habits like smoking, tobacco, alcohol, can be cured and taken care of by counseling and therapy.
If there is some health-related or physical factor behind erectile dysfunction then it can be eradicated by medications and surgery.
Medicinal treatment of erectile dysfunction may vary from person to person depending upon the extent of the issue.
There is a wide range of medicines available in the market to cure erectile dysfunction. Some of the most commonly used medicines are:
The above medicines are highly recommended by doctors and give positive results within a short period. But the most effective medicine is Cenforce 200 mg
Cenforce 200 mg is a pill containing sildenafil citrate as an active ingredient.
Cenforce 200 mg is used to cure erectile dysfunction and other impotence issues in men.
Cenforce 200mg is manufactured by Centurion laboratories and is highly effective against erectile dysfunction.
Cenforce comes in various strengths. In cenforce 200 mg, the amount of sildenafil citrate is very high hence it is recommended to use in extreme conditions under the full supervision of a doctor.
How Cenforce 200 mg works.
Erectile dysfunction occurs when phosphodiesterase type 5 enzymes inhibit the production of cGMP in the body and thus lowers the blood level in the penis.
Cenforce 200 mg contains sildenafil citrate as an active compound that is a cGMP regulator. It inhibits phosphodiesterase type 5 enzyme and is responsible for relaxing muscles and increasing blood flow in the penis hence helps in maintaining a firm erection during sexual intercourse.
It is advisable to take cenforce 200 mg 30 minutes before having sex with a glass of water. The effect of cenforce 200mg lasts for about 3 to 4 hours after intake.
Being rich in sildenafil citrate doctors always advised taking a single dose a day of Cenforce 200 mg.
It is also advisable to not consume cenforce 200mg:
If you are already taking Viagra or other supplements
If you are taking nitrate-containing drugs for treating hypertension
If you have any heart disease.
If you are allergic to sildenafil citrate.
Avoid taking cenforce200 mg if you have any other serious diseases.
Always take cenforce200 mg under the guidance of a doctor. If taken for a longer period cenforce200 mg can cause some side effects like:
If any of these symptoms occur immediately consult your doctor.
If none of the medicines works then try other below alternatives like:
Alprostadil injection is injected into the penis. As a result of which the blood vessels of the penis expand, blood bursts throughout the body as well as the penis thus helping men achieve a firm erection.
It starts working in about 5- 15 minutes after injecting. It is advisable to not use it more than thrice a week.
When to not use alprostadil
Under the following conditions you should not consume alprostadil:
If you are allergic to alprostadil.
If you have any other food allergies.
If you have a penile implant.
If you are suffering from priapism.
Side effects of alprostadil.
When you use alprostadil you may suffer from the following kind of side effects:
Painful erections that may last for about 4-6 hours.
Swelling or pain in the penis.
Bleeding in the urethra.
If you encounter any of these symptoms immediately consult your doctor.
Vacuum devices are constriction pumps used by men suffering from erectile dysfunction to achieve a firm erection.
These pumps are used to create a vacuum that draws blood to the shaft of the penis resulting in it getting swell and becomes erect.
Who can use vacuum pumps
Vacuum devices are safe to use and can be effectively used under the following conditions:
If you have diabetes
If you have undergone any kind of surgery
If there is poor blood flow.
But it is advisable to not use vacuum pumps if you have a history of priapism.
Side effects of vacuum pumps
Besides safe and easy to use, these pumps come with some side effects.
The penis may turn purple and may get numb.
Painless spots may appear on the penis shaft
The Force of ejaculation may decrease.
Penis implants are some sort of devices that after being inserted inside the penis help men achieve a firm erection during sexual intercourse.
This method is adopted after all the tried methods are unable to give results.
Penile implants are of the following two types:
1) Malleable penile implant- That can be adjusted manually to an erect position.
2) Inflatable penile implant-This is the most common type of penile implant used to treat erectile dysfunction.
These can be inflated at the time of erection and can be deflated when no use.
Your doctor won't advise you to choose a penile implant if:
You have diabetes
You are suffering from some sort of urinary tract infection or you have a history of it.
Side-effects of penile implant
Generally, penile implants come with some of the following risk factors:
The implant may not work properly
There may be chances of wear and tear of the penis skin.
When none of the above processes helps to cure erectile dysfunction then vascular reconstructive surgery is carried out that increases the blood flow in the penis and helps in maintaining an erection.
Process of surgery
Since this process is quite difficult and costly, so the most of time the doctor doesn't recommend it.
During surgery blocked arteries from the penis are removed and a muscle from the belly is implanted in the penis thus creating a path for blood to flow.
It is seen that this process works out for only 1 out of 20 people.
Testosterone replacement therapy
Testosterone is the male hormone produced by testicles and is responsible for the development of male sexual characteristics.
Testosterone replacement therapy is used to treat the low level of testosterone
Why the level of testosterone decreases
As you grow up the level of testosterone in you starts decreasing because with the increase in age the amount of testosterone produced by your testicles decreases due to which the hypothalamus produces less gonadotropin release hormone. Less production of GRH triggers the pituitary gland to produce a less legitimizing hormone which in turn is responsible for overall less production of testosterone.
As such there are no specific symptoms that can tell you that you are encountering a known level of testosterone. But some signs can guide you towards the issue:
Having difficulty in sleeping.
Low sperm count.
Low sex drive.
Testosterone replacement therapy can be done by either oral medications, intramuscular injections or by topical creams. Anyone method can be adopted depending upon your situation and convenience
Side effects of testosterone replacement therapy
Following are some of the side effects found in people who have undergone testosterone replacement therapy:
Difficulty in breathing
Swelling in hands and legs
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